Is an expert diagnosis enough for assessment of sick leave for employees with musculoskeletal and mental disorders?
2011 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 33, no 13-14, 1147-1156 p.Article in journal (Refereed) Published
Purpose. The aim of this study is to determine differences in self-reported work ability, work conditions, health and function between ICD-10 groups with musculoskeletal disorders (MSD), mental disorders (MDs) and MSD+MD and to determine which variables are associated with sick leave.
Method. A cross-sectional study of 210 employees was conducted at an occupational health service unit. Physiotherapists and physicians classified the employees’ health problems according to ICD-10 and the employees answered a questionnaire with questions on demographic variables, health, functioning, work ability and work conditions.
Results. Forty-four per cent of the employees had MSD, 22% had MD and 34% had a MSD+MD. The group on sick leave had worse results for all health and work measures. Belonging to the MD group, belonging to the MSD+MD group, having poor work ability and functioning were associated with being on sick leave. The value for the model explaining being on sick leave was 0.63 (Nagelkerke R2).
Conclusions. Having a diagnosis of MD based on a professional opinion and having poor work ability and functioning based on self-reports are associated with being on sick leave. The results suggest that self-reported data could be used to complement the expert-based diagnosis.
Place, publisher, year, edition, pages
Informat Health Care , 2011. Vol. 33, no 13-14, 1147-1156 p.
Work ability, musculoskeletal disorders, mental disorders, sick leave, ICD-10, work ability index
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-65843DOI: 10.3109/09638288.2010.523509ISI: 000290950400008OAI: oai:DiVA.org:liu-65843DiVA: diva2:399511
FunderFAS, Swedish Council for Working Life and Social Research, 2004-0582
Original Publication: Charlotte Wåhlin Norgren, Kerstin Ekberg and Birgitta Öberg, Is an expert diagnosis enough for assessment of sick leave for employees with musculoskeletal and mental disorders?, 2010, Disability and Rehabilitation. http://dx.doi.org/10.3109/09638288.2010.523509 Copyright: Informa Healthcare http://informahealthcare.com/2011-02-222011-02-222013-09-03